Individual provider · Type 1 NPI

Nicholette Congdon

Dental Hygienist · Flagstaff, AZ

NPI number 1417560608 Active

Practice location

208 E Knoles Drive
Flagstaff, AZ 86011-0001

Mailing address

6369 W Potter Dr
Glendale, AZ 85308-6606

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XNone listed

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1417560608

Nicholette Congdon's National Provider Identifier is 1417560608, issued on Aug 26, 2020. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Flagstaff, AZ. The record was last updated on Aug 26, 2020.